Besonderheiten in der Behandlung von Patienten mit Kopf-Hals-Karzinomen in Zeiten der COVID-19-Pandemie

Hoffmann, TK; Greve, Jens; Laban, Simon; Schuler, Patrick J.

doi:10.1007/s00106-020-00967-1

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…With regard to TORS, there are further aspects which could make the sMAC system a persuading alternative: unlike TORS the lack of haptics could be improved through continuous mechanical instruments and the waiver of physical separation between control console and intervention unit. In addition, TORS leads up to 90% higher costs as compared to established methods, while there is a lack of large-scale randomized trials that would show a clinical benefit for the patients [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a curved surgical prototype in a human larynx

Schild

Böhm

Kienle

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose It is not always possible to create linear access to the larynx using a rigid operating laryngoscope for microlaryngoscopy. In this study, we evaluate the usability of a novel curved surgical prototype with flexible instruments for the larynx (sMAC) in a simulation dummy and human body donor. Methods In a user study (n = 6), head and neck surgeons as well as medical students tested the system for visualization quality and accessibility of laryngeal landmarks on an intubation dummy and human cadaver. A biopsy of the epiglottis was taken from the body donor. Photographic and time documentation was carried out. Results The sMAC system demonstrated general feasibility for laryngeal surgery. Unlike conventional microlaryngoscopy, all landmarks could be visualized and manipulated in both setups. Biopsy removal was possible. Visibility of the surgical field remained largely unobstructed even with an endotracheal tube in place. Overall handling of the sMAC prototype was satisfactorily feasible at all times. Conclusion The sMAC system could offer an alternative for patients, where microlaryngoscopy is not applicable. A clinical trial has to clarify if the system benefits in clinical routine.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a curved surgical prototype in a human larynx

Schild

Böhm

Kienle

et al. 2021

Eur Arch Otorhinolaryngol

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“…Oncologic patients have been the focus of attention since the beginning of the pandemic due to the crucial time frame of their therapeutical management [2]. Several guidelines have been published by national associations and international expert panels to avoid fatal delays in oncologic care [6][7][8]. Studies showed remarkable tumor progression and upstaging of disease in patients with SCC in only four weeks [14].…”

Section: General Aspectsmentioning

confidence: 99%

“…Head and neck cancer (HNC) patients were not left unaffected by the circumstances. Therefore, multiple national associations and international consensus boards counteracted with altered cancer management protocols [6][7][8]. As the pandemic is still ongoing, experts are estimating the long-term compromise of cancer-specific mortality and survival rates [9].…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 Pandemic on Head and Neck Cancer Stage and Treatment Duration

Kourtidis¹,

Münst²,

Hofmann³

2022

Cureus

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To assess the efficacy of oncologic healthcare during the COVID-19 pandemic on patients with head and neck squamous cell carcinoma (SCC) in a tertiary university hospital in Germany. MethodsThis retrospective, cross-sectional, observational study included 94 patients with newly diagnosed head and neck squamous cell carcinoma during a two-year period. Patients were assigned to two date-dependent groups; referrals before (group A) and during (group B) the COVID-19 pandemic. Time intervals from the symptom(s) onset to diagnosis, diagnosis to treatment, and treatment initiation to completion were recorded. Furthermore, TNM stages and the application of reconstructive surgery with free tissue transfer were determined. Patients' outcomes and characteristics were compared between the two groups. Finally, a comprehensive literature review was carried out to identify similar epidemiological studies. ResultsThe symptom-to-diagnosis interval was longer during the COVID-19 pandemic [median 9.5 (A) versus 15 (B) weeks, p = 0.054]. The intervals from diagnosis to treatment and treatment initiation to end of treatment were approximately the same in both groups [median 3 (A) versus 3.2 (B) weeks, p = 0.264; and 6.9 (A) versus 6.3 (B) weeks, p = 0.136]. The T-and N-stages were not higher during the pandemic [early T-stage (T1+T2) versus advanced T-stage (T3+T4), p = 0.668; and N-negative (N0) versus N-positive status (N1,2,3), p = 0.301]. Patients who presented with distant metastatic disease and those who underwent reconstructive surgery with free tissue transfer were observed more frequently in the lockdown phase [M1 versus M0, p= 0.022; and flap versus no flap, p=0.007]. ConclusionThis study suggests the consistent diagnostic and therapeutical performance of the tertiary oncologic healthcare in Berlin, Germany, despite the challenges that patient care units faced during the COVID-19 pandemic.

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“…Inhaltlich wurde in diesen Publikationen ein breites Spektrum an Themen bearbeitet. Hierzu zählten organisatorische Aspekte, wie Veränderungen der Prozessabläufe [ 5 – 7 ], aber auch fachspezifische Themen, wie die Behandlung onkologischer Patienten [ 8 ] oder Cochlea-Implantat-Patienten [ 9 ] unter Pandemiebedingungen. Die Durchführung einer Tracheotomie bei an COVID-19 erkrankten Patienten stellte ebenfalls einen wichtigen Inhalt gleich mehrerer Arbeiten dar [ 10 – 12 ].…”

Section: Diskussionunclassified

Auswirkungen der SARS-CoV‑2-Pandemie auf die universitäre Hals-Nasen-Ohren-Heilkunde im Bereich der Forschung, Lehre und Weiterbildung

Stöver

Dazert

Plontke

et al. 2021

HNO

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Zusammenfassung Hintergrund Ab Frühjahr 2020 kam es zur weltweiten Verbreitung von SARS-CoV‑2 mit der heute als erste Welle der Pandemie bezeichneten Phase ab März 2020. Diese resultierte an vielen Kliniken in Umstrukturierungen und Ressourcenverschiebungen. Ziel unserer Arbeit war die Erfassung der Auswirkungen der Pandemie auf die universitäre Hals-Nasen-Ohren(HNO)-Heilkunde für die Forschung, Lehre und Weiterbildung. Material und Methoden Die Direktorinnen und Direktoren der 39 Universitäts-HNO-Kliniken in Deutschland wurden mithilfe einer strukturierten Online-Befragung zu den Auswirkungen der Pandemie im Zeitraum von März bis April 2020 auf die Forschung, Lehre und die Weiterbildung befragt. Ergebnisse Alle 39 Direktorinnen und Direktoren beteiligten sich an der Umfrage. Hiervon gaben 74,4 % (29/39) an, dass es zu einer Verschlechterung ihrer Forschungstätigkeit infolge der Pandemie gekommen sei. Von 61,5 % (24/39) wurde berichtet, dass pandemiebezogene Forschungsaspekte aufgegriffen wurden. Von allen Kliniken wurde eine Einschränkung der Präsenzlehre berichtet und 97,5 % (38/39) führten neue digitale Lehrformate ein. Im Beobachtungszeitraum sahen 74,4 % der Klinikdirektoren die Weiterbildung der Assistenten nicht gefährdet. Schlussfolgerung Die Ergebnisse geben einen Einblick in die heterogenen Auswirkungen der Pandemie. Die kurzfristige Bearbeitung pandemiebezogener Forschungsthemen und die Einführung innovativer digitaler Konzepte für die studentische Lehre belegt eindrücklich das große innovative Potenzial und die schnelle Reaktionsfähigkeit der HNO-Universitätskliniken, um auch während der Pandemie ihre Aufgaben in der Forschung, Lehre und Weiterbildung bestmöglich zu erfüllen.

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Besonderheiten in der Behandlung von Patienten mit Kopf-Hals-Karzinomen in Zeiten der COVID-19-Pandemie

Cited by 5 publications

References 20 publications

Evaluation of a curved surgical prototype in a human larynx

Evaluation of a curved surgical prototype in a human larynx

Effects of the COVID-19 Pandemic on Head and Neck Cancer Stage and Treatment Duration

Auswirkungen der SARS-CoV‑2-Pandemie auf die universitäre Hals-Nasen-Ohren-Heilkunde im Bereich der Forschung, Lehre und Weiterbildung

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